JOHN L. ESTES III DDS INC
NPI: 1902924376
· ABILENE, TX 79601
· Dental Clinic/Center
· NPI assigned 03/26/2007
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | ESTES, JOHN (OWNER) |
| NPI Enumeration Date | 03/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$346.20 |
| 2020 |
243 |
$5K |
| 2021 |
1,406 |
$33K |
| 2022 |
1,478 |
$36K |
| 2023 |
981 |
$24K |
| 2024 |
469 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,376 |
1,363 |
$38K |
| D1110 |
Prophylaxis - adult |
699 |
689 |
$36K |
| D1120 |
Prophylaxis - child |
491 |
490 |
$17K |
| D1206 |
Topical application of fluoride varnish |
601 |
596 |
$8K |
| D0274 |
Bitewings - four radiographic images |
212 |
209 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
327 |
324 |
$5K |
| D0601 |
|
577 |
572 |
$0.00 |
| D0602 |
|
162 |
161 |
$0.00 |
| D0603 |
|
144 |
144 |
$0.00 |